CLIN Structure.docx

DOCX document 14 KB Posted

Attached to
ISBEE/IEE Sources Sought Notice: AMA CPT Licenses Federal contract opportunity
Solicitation number
75H70424Q00009
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document outlines a contract line item number (CLIN) structure for a potential federal contract. The CLIN structure includes a base period of performance from January 1, 2024 to December 31, 2024 and four option years running from 2025 to 2028. Key services required under each CLIN include hospital and ambulatory facility services to be priced using attached user proxy model calculators. Quantities remain consistent at 6,402 for hospital services and 4,852 for ambulatory services across all years. The related federal contract opportunity is a pre-solicitation sources sought notice issued by the Department of Health and Human Services Indian Health Service for AMA CPT licenses under solicitation number 75H70424Q00009.

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Other files for this federal contract opportunity

Other files attached to ISBEE/IEE Sources Sought Notice: AMA CPT Licenses, newest first.
File Type Posted
IEE Representation Form.pdf PDF
SOW_2024 AMA CPT Licenses.docx DOCX document
Sources Sought Notice - AMA CPT Licenses.pdf PDF

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Text version

Base Period - Period of Performance 01/01/2024 – 12/31/2024

CLIN
DESCRIPTION
QTY
Unit Price
Extended Price
0001
Hospital Setting /Mix of Hospitals and Ambulatory Facilities (see attached user proxy Model

calculator)

0002
Ambulatory Setting (see attached user proxy model calculator)
4852

Base Period Total

Option Year 1 - Period of Performance 01/01/2025 – 12/31/2025

CLIN
DESCRIPTION
QTY
Unit Price
Extended Price
1001
Hospital Setting /Mix of Hospitals and Ambulatory Facilities (see attached user proxy Model
1002
Ambulatory Setting (see attached user proxy model calculator)
4852

Option Year 1 Total

Option Year 2 - Period of Performance 01/01/2026 – 12/31/2026

CLIN
DESCRIPTION
QTY
Unit Price
Extended Price
2001
Hospital Setting /Mix of Hospitals and Ambulatory Facilities (see attached user proxy Model
2002
Ambulatory Setting (see attached user proxy model calculator)
4852

Option Year 2 Total

Option Year 3 - Period of Performance 01/01/2027– 12/31/2027

CLIN
DESCRIPTION
QTY
Unit Price
Extended Price
3001
Hospital Setting /Mix of Hospitals and Ambulatory Facilities (see attached user proxy Model
3002
Ambulatory Setting (see attached user proxy model calculator)
4852

Option Year 3 Total

Option Year 4 - Period of Performance 01/01/2028– 12/31/2028

CLIN
DESCRIPTION
QTY
Unit Price
Extended Price
4001
Hospital Setting /Mix of Hospitals and Ambulatory Facilities (see attached user proxy Model
4002
Ambulatory Setting (see attached user proxy model calculator)
4852

Option Year 4 Total

Total Contract Value (Base + 4)

File details come from the government source that posted it. Updated .